Study on early out of bed mobility in patients after Mako robotic-assisted total hip arthroplasty_West China Medical Journal

Authors：

LI Ying ¹ , TIAN Yihua ² , LI Xinyu ¹ , WANG Jiawei ¹ , HUANG Qiuxia ¹ ,  TANG Yongli ¹ ,  WANG Xue ¹ , HUANG Wei ¹ , CHEN Jie ¹

1. Department of Orthopedics, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, P. R. China;
2. Nursing Faculty, Chongqing Wuyi Technician College, Chongqing 401320, P. R. China;

Corresponding author：

TANG Yongli, Email: 1693563595@qq.com; WANG Xue, Email: snowcandy53@126.com

Keywords：

Robot-assisted technology; Total hip arthroplasty; Early bed mobility

DOI：

10.7507/1002-0179.202007367

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Objective To study the early out-of-bed activities of patients after Mako robotic-assisted total hip arthroplasty.Methods We prospectively included inpatients planned to undergo primary unilateral total hip arthroplasty in the Department of Orthopaedics of the First Affiliated Hospital of Chongqing Medical University from April to July 2020. Using a randomized numerical table, the patients were divided into trial group to undergo robotic-assisted total hip arthroplasty and control group to undergo traditional total hip arthroplasty, and both groups received the same nursing measures and instructions for training to get out of bed after surgery. Postoperative active pain (assessed with Visual Analogue Scale), the proportion of patients willing to get out of bed within 24 h after surgery, the time and duration for the first out of bed activity, the proportion of patients with a walking distance ≥5 m for first activity, and the level of activity in the first 3 d after surgery between the two groups were compared.Results A total of 38 patients were included in this study, with 17 patients in the trial group and 21 patients in the control group. There was no statistical significance in the baseline demographics between the two groups (P>0.05). There were statistically significant differences in postoperative 6-hour and 24-hour Visual Analogue Scale scores between the two groups (P<0.05). Two hours after oral administration of perioperative energy preparations on the day of surgery, the proportion of patients who were willing to get out of bed early in the trial group was higher than that in the control group (100.0% vs. 57.1%, P<0.05). The first time to get out of bed ［(4.39±0.17) vs. (8.74±4.70) h］, the duration of getting out of bed ［(10.89±3.60) vs. (8.37±3.31) h］, and the proportion of patients with a walking distance ≥5 m for first activity (94.1% vs. 61.9%) were better than those of the control group (P<0.05). There were statistically significant differences between the trial group and the control group in the average level in the first 3 days after surgery, postoperative first-day level, and postoperative second-day level of getting out of bed (P<0.05). There were no falls, dislocation of the prosthesis, fractures around the prosthesis, or deep vein thrombosis in the two groups of patients during their hospitalization.Conclusion The precise surgery method with the help of Mako orthopedic robot-assisted system can help promote patients to get out of bed early after surgery, and can providea reference for how to improve the rehabilitation of patients after traditional total hip replacement in the future.

Citation： LI Ying, TIAN Yihua, LI Xinyu, WANG Jiawei, HUANG Qiuxia, TANG Yongli, WANG Xue, HUANG Wei, CHEN Jie. Study on early out of bed mobility in patients after Mako robotic-assisted total hip arthroplasty. West China Medical Journal, 2020, 35(10): 1189-1194. doi: 10.7507/1002-0179.202007367 Copy

1.	周勇刚, 王岩. 全髋关节置换术后并发症是影响患者满意度的最主要原因. 中华关节外科杂志(电子版), 2008, 2(5): 479-483.
2.	崔可赜, 郭祥, 韩贵斌, 等. Mako机器人辅助后外侧入路全髋关节置换术. 中国矫形外科杂志, 2020, 28(4): 356-359.
3.	Domb BG, Redmond JM, Louis SS, et al. Accuracy of component positioning in 1980 total hip arthroplasties: a comparative analysis by surgical technique and mode of guidance. J Arthroplasty, 2015, 30(12): 2208-2218.
4.	Illgen RL Nd, Bukowski BR, Abiola R, et al. Robotic-assisted total hip arthroplasty: outcomes at minimum two-year follow-up. Surg Technol Int, 2017, 30: 365-372.
5.	周宗科, 翁习生, 曲铁兵, 等. 中国髋、膝关节置换术加速康复—围术期管理策略专家共识. 中华骨与关节外科杂志, 2016, 9(1): 1-9.
6.	Guerra ML, Singh PJ, Taylor NF. Early mobilization of patients who have had a hip or knee joint replacement reduces length of stay in hospital: a systematic review. Clin Rehabil, 2015, 29(9): 844-854.
7.	岳孟婷, 古晨玉, 张子营. 早期下床活动干预应用于老年人工全髋关节置换患者的效果. 四川生理科学杂志, 2020, 42(2): 158-161.
8.	Labraca NS, Castro-Sánchez AM, Matarán-Peñarrocha GA, et al. Benefits of starting rehabilitation within 24 hours of primary total knee arthroplasty: randomized clinical trial. Clin Rehabil, 2011, 25(6): 557-566.
9.	杨霞, 李国宏, 邓春花. 骨科护士对髋膝关节置换术后患者早期下床活动认知现状调查. 齐鲁护理杂志, 2018, 24(6): 44-47.
10.	陈曦, 张芳, 王华, 等. 研究髋关节置换术后下床时间对关节假体脱位的影响. 临床医药文献电子杂志, 2019, 6(50): 23, 25.
11.	郑志博, 冯宾, 董玉雷, 等. 全髋关节置换术后脱位因素分析及防治策略. 中华骨与关节外科杂志, 2016, 9(3): 198-203.
12.	邵泽宇, 徐文峰, 廖晓玲, 等. 骨科机器人的发展应用及前景. 军事医学, 2016, 40(12): 1003-1008.
13.	Li Z, Wang M, Zhang L, et al. Neuronavigation-guided corticospinal tract mapping in brainstem tumor surgery: better preservation of motor function. World Neurosurg, 2018, 116: e291-e297.
14.	Barone A, Giusti A, Pizzonia M, et al. Factors associated with an immediate weight-bearing and early ambulation program for older adults after hip fracture repair. Arch Phys Med Rehabil, 2009, 90(9): 1495-1498.
15.	Brown CJ, Friedkin RJ, Inouye SK. Prevalence and outcomes of low mobility in hospitalized older patients. J Am Geriatr Soc, 2004, 52(8): 1263-1270.
16.	中华医学会外科学分会, 中华医学会麻醉学分会. 加速康复外科中国专家共识及路径管理指南(2018版). 中国实用外科杂志, 2018, 38(1): 1-20.
17.	陈琼, 许燕玲. 人工全髋关节置换术早期康复影响因素的研究现状. 实用临床护理学电子杂志, 2017, 2(11): 6-7.
18.	Dounchis J, Elson L, Bragdon CR. A multi-centre evaluation of acetabular cup positioning in robotic-assisted total hip arthroplasty. Br J Spec Edu, 2013, 22(1): 34-39.
19.	Domb BG, El Bitar YF, Sadik AY, et al. Comparison of robotic-assisted and conventional acetabular cup placement in THA: a matched-pair controlled study. Clin Orthop Relat Res, 2014, 472(1): 329-336.
20.	曹旭含, 白子兴, 孙承颐, 等. 机器人在骨科手术中应用的可靠性与提升空间. 中国组织工程研究, 2020, 24(9): 1416-1421.

1. 周勇刚, 王岩. 全髋关节置换术后并发症是影响患者满意度的最主要原因. 中华关节外科杂志(电子版), 2008, 2(5): 479-483.
2. 崔可赜, 郭祥, 韩贵斌, 等. Mako机器人辅助后外侧入路全髋关节置换术. 中国矫形外科杂志, 2020, 28(4): 356-359.
3. Domb BG, Redmond JM, Louis SS, et al. Accuracy of component positioning in 1980 total hip arthroplasties: a comparative analysis by surgical technique and mode of guidance. J Arthroplasty, 2015, 30(12): 2208-2218.
4. Illgen RL Nd, Bukowski BR, Abiola R, et al. Robotic-assisted total hip arthroplasty: outcomes at minimum two-year follow-up. Surg Technol Int, 2017, 30: 365-372.
5. 周宗科, 翁习生, 曲铁兵, 等. 中国髋、膝关节置换术加速康复—围术期管理策略专家共识. 中华骨与关节外科杂志, 2016, 9(1): 1-9.
6. Guerra ML, Singh PJ, Taylor NF. Early mobilization of patients who have had a hip or knee joint replacement reduces length of stay in hospital: a systematic review. Clin Rehabil, 2015, 29(9): 844-854.
7. 岳孟婷, 古晨玉, 张子营. 早期下床活动干预应用于老年人工全髋关节置换患者的效果. 四川生理科学杂志, 2020, 42(2): 158-161.
8. Labraca NS, Castro-Sánchez AM, Matarán-Peñarrocha GA, et al. Benefits of starting rehabilitation within 24 hours of primary total knee arthroplasty: randomized clinical trial. Clin Rehabil, 2011, 25(6): 557-566.
9. 杨霞, 李国宏, 邓春花. 骨科护士对髋膝关节置换术后患者早期下床活动认知现状调查. 齐鲁护理杂志, 2018, 24(6): 44-47.
10. 陈曦, 张芳, 王华, 等. 研究髋关节置换术后下床时间对关节假体脱位的影响. 临床医药文献电子杂志, 2019, 6(50): 23, 25.
11. 郑志博, 冯宾, 董玉雷, 等. 全髋关节置换术后脱位因素分析及防治策略. 中华骨与关节外科杂志, 2016, 9(3): 198-203.
12. 邵泽宇, 徐文峰, 廖晓玲, 等. 骨科机器人的发展应用及前景. 军事医学, 2016, 40(12): 1003-1008.
13. Li Z, Wang M, Zhang L, et al. Neuronavigation-guided corticospinal tract mapping in brainstem tumor surgery: better preservation of motor function. World Neurosurg, 2018, 116: e291-e297.
14. Barone A, Giusti A, Pizzonia M, et al. Factors associated with an immediate weight-bearing and early ambulation program for older adults after hip fracture repair. Arch Phys Med Rehabil, 2009, 90(9): 1495-1498.
15. Brown CJ, Friedkin RJ, Inouye SK. Prevalence and outcomes of low mobility in hospitalized older patients. J Am Geriatr Soc, 2004, 52(8): 1263-1270.
16. 中华医学会外科学分会, 中华医学会麻醉学分会. 加速康复外科中国专家共识及路径管理指南(2018版). 中国实用外科杂志, 2018, 38(1): 1-20.
17. 陈琼, 许燕玲. 人工全髋关节置换术早期康复影响因素的研究现状. 实用临床护理学电子杂志, 2017, 2(11): 6-7.
18. Dounchis J, Elson L, Bragdon CR. A multi-centre evaluation of acetabular cup positioning in robotic-assisted total hip arthroplasty. Br J Spec Edu, 2013, 22(1): 34-39.
19. Domb BG, El Bitar YF, Sadik AY, et al. Comparison of robotic-assisted and conventional acetabular cup placement in THA: a matched-pair controlled study. Clin Orthop Relat Res, 2014, 472(1): 329-336.
20. 曹旭含, 白子兴, 孙承颐, 等. 机器人在骨科手术中应用的可靠性与提升空间. 中国组织工程研究, 2020, 24(9): 1416-1421.

West China Medical Journal

Study on early out of bed mobility in patients after Mako robotic-assisted total hip arthroplasty

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